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Individual

MRS. JOYCE ANN TEBBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
2600 MOTE DR, COVINGTON, OH 45318-1260
(937) 473-3025
(937) 473-3196
Mailing address
2600 MOTE DR, COVINGTON, OH 45318-1260
(937) 473-3025
(937) 473-3196

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.13008-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0067404
OH
Enumeration date
02/15/2012
Last updated
08/20/2014
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